A woman seeing in various mirrors.

Psychotic depression symptoms

People with this condition experience all the typical symptoms of major depression (like continual sadness, minimal energy, sleep/appetite issues, and despair) along with symptoms of psychosis, such as:

  1. Delusions

Strongly held false beliefs, often negative or paranoid, such as believing you’re evil, worthless, or that others want to harm you.

  1. Hallucinations

Seeing, hearing, or feeling things that aren’t there (most commonly auditory, like hearing voices)

  1. Disorganized thinking or speech

Trouble concentrating or speaking coherently, which may seem disconnected from reality.

Key features:

  • The psychosis is always mood-congruent, meaning it aligns with depressive themes like guilt, failure, disease, or death.
  • It’s not a separate illness from depression but rather a specifier used to describe the severity and features of a depressive episode.

–> My detailed guide about psychotic depression can be found here.

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